Call number C362.2 N87sg 1926-1942 (North Carolina Collection, University of North Carolina at Chapel Hill)

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LETTER OF TRANSMITTAL

OCTOBER 20, 1926.

HON. A. W. MCLEAN, Governor, Raleigh, N. C.

DEAR SIR:--I transmit you herewith report of Dr. W. W. Faison, Superintendent, State Hospital, near Goldsboro. I think after reading this report in connection with the State Auditor's for period ending June 30th, 1926, you will be convinced that Dr. Faison is running this institution not only on humane lines and efficiently but economically.

According to the Auditor's report, it has cost 47c. per day per capita to maintain the inmates of this institution. This cost also applies to sixty-five of the criminal insane that are located at this institution. These men and women of course do not work. This institution has to furnish heat, lights, food and clothes, and special guards for these criminal insane, and as they cannot go outside of the building they produce nothing, and this makes an additional expense for maintenance. But for this expense his cost per capita would come down to about 44c. Dr. Faison, as Superintendent of this institution, is running same as far as economy is concerned just as cheaply as possible.

If we are to get this cost down below where it is now we have got to produce more. Last year where we killed about 30,000 pounds of pork, this year we expect to kill 60,000 pounds. We also expect to increase our herd of cattle so as to increase our milk supply. If this institution is to reduce this cost per capita we must grow more vegetables and more food stuff and produce more butter fat and meat. To that end we must have additional land. This institution has approximately 700 acres of land. Probably 20% of this land is in the river swamps and a good part of it in highland woods. From the latter place the institution gets wood and straw. This part of the land, even if it was cleared, would not be suitable for farm purposes, so it is absolutely necessary that the State purchase more farm land on which to grow more farm products and vegetables. To this end we are going to ask the Legislature to appropriate $10,000.00 to purchase 180 acres of land adjoining our present farm, and I am asking that you use your influence to have this appropriation made, because it is absolutely essential to have this land. We now have about 1,500 inmates in the institution. A good percentage of these can work out on the farm and we must have the land for them to work on so that they can produce at least a part of what they consume. I believe when we have purchased this additional tract of land and are able to work more of the inmates on other lines, possibly the making of mattresses and other things, we will be able to get the cost per capita of this institution down very materially from where it is today.

It is the idea of Dr. Faison, Superintendent, and his Board of Directors to classify the inmates of this institution, make all of them that can possibly do so do some character of work whereby they can produce a certain portion of what they consume. To this end we have erected two Colony Buildings that will care for about 100 patients. These buildings are located about the center of the farm where the inmates work. These buildings cost approximately $15,000.00 or a cost of about $150.00 per capita. The former buildings that were erected near the main buildings cost about $750.00 per capita. No more of these expensive buildings should ever be erected.

As chairman of this board, it gives me great pleasure to say that we have a corps of efficient men at this institution, all working to one end, to give the best service possible at the least cost.

SUPERINTENDENT'S REPORT

To the Board of Directors, State Hospital at Goldsboro, Goldsboro, N. C.

GENTLEMEN:--As required by law I herewith submit the Superintendent's report for the period of two years, ending June 30, 1926:

Movement of Population

Males

Females

Total

Remaining June 30, 1924

480

743

1223

Admitted

456

444

900

Total under treatment

936

1187

2123

Discharged, as recovered

103

99

202

Discharged, as improved

39

45

84

Discharged, much improved

1

3

4

Discharged, as unimproved

17

1

8

Discharged, as eloped

15

0

15

Discharged, as removed

14

1

15

Died

135

165

300

Total removed

324

314

638

Number on roll, June 30, 1926

612

873

1485

Number present, June 30, 1926

604

854

1458

Percentage of cures on number received

22%

Percentage of deaths on number treated

8%

Daily average on roll, 1924-25

1322

Daily average present, 1924-25

1278

Daily average on roll, 1925-26

1451

Daily average present, 1925-26

1403

Movement of Population of Criminal Insane

Males

Females

Total

Admitted

73

8

81

Discharged, as recovered

5

1

6

Discharged, as removed

2

0

2

Died

11

0

11

Total removed

18

1

19

Ex-Service Men

Twelve ex-service men were transferred to Tuskegee, Alabama, a Government Hospital. We still have five in the Hospital.

Movement of Population

The above table shows that the number of patients enrolled on June 30, 1924 was 1223, and the number remaining June 30, 1926, was 1485, an increase of 262 patients.

During the biennium 900 patients were admitted. Quite a number of these were either senile or feeble-minded, and with good care might have been kept at the County Home and thus given more room in the Hospital for acute and dangerous patients.

We had somewhat more sickness than usual. We had an epidemic of influenza, one of gastro enteritis and a number of cases of atypical smallpox. All patients are vaccinated on admission, but in some way a few proved to be unprotected.

On September 10, 1924, fifty-four criminal insane patients, forty-eight men and six women, were brought to this institution from the State Prison at Raleigh. The men were placed in a building prepared especially for them and the women in one of the strong wards for females.

I regret to have to report that during this period three male patients lost their lives by violence--two at the hands of other patients. The other patient, when advancing upon an employee with a club, received a blow, from the effects of which he died. The Coroner was notified at once and investigated each case. These occurrences are much to be deplored but they do occur in institutions of this kind.

During the biennium two hundred additional beds for patients have been provided and we now have 1530, 615 for men and 915 for women.

A detailed account of all permanent improvements will be found in the report of the Building Committee, which is attached.

The erection of a new mule and hay barn and a Colony Building for thirty male patients, at a more central part of the farm has proved very satisfactory. These are metal-covered, brick buildings, and are semi-fireproof. The Colony Building is a one-story, nicely constructed and equipped with modern conveniences. An additional building of similar construction is now being erected at the Colony to accommodate fifty more male patients who will work on the farm.

The State Insurance Commissioner has recently had all the electric light wiring at this institution inspected. The wiring in a number of the old buildings was condemned. A full report was made to the Commissioner and the Governor has been informed of the situation.

Besides the ordinary repairs being kept up the growth of the institution has required additional equipment in the Power House, the Laundry and at the Pumping Station. All of these improvements are shown in the Engineer's report.

Recommendations

During the time covered by this report our patient population has increased 262. More room should be provided here as soon as practicable, and the erection of the following buildings is suggested for the consideration of the Board:

1. That the two old wooden buildings for tuberculous patients be taken down and replaced by fire-proof buildings, at more suitable locations. The building for men to have forty beds and the one for women sixty beds.

2. A dormitory building for women, with capacity for 150 patients.

3. A dormitory building for men, with capacity for 100 patients. Both of the above buildings to be fire-proof.

4. A one-story, two-room building in which to prepare fish and vegetables.

5. A small addition to the Laundry.

6. An apartment house for employees.

7. Two cottages for attendants.

Farm and Dairy

The crops of 1924 were practically destroyed. The crops of 1925 were good, and the growing crops are very promising. The Farmer's Report, which is attached, gives a detailed account of the farm and dairy operations.

REPORT OF THE CLINICAL DIRECTOR

DEAR SIR:--I herewith submit the following report of this department for the year from July 1st, 1925, to June 30th, 1926:

The regular custom of giving each patient a careful physical and mental examination as soon after admission as possible has been adhered to, and the results recorded.

We have continued our special efforts in the diagnosis and treatment of syphilis with the most gratifying results. Quite a number of patients who were admitted apparently afflicted with dementia præcox, cleared up very nicely under anti-syphilitic treatment and went home apparently perfectly restored. Practically all these cases, upon being restored, gave a personal history of some rather chronic physical ailment, such as persistent headaches, "nervousness," chronic indigestion, rheumatism, etc., and all went home rejoicing that they felt better than they had for years.

Nearly three thousand doses of intra-venous treatments were administered during the year, besides many thousand tablets of mixed treatment.

For some unaccountable cause we have had more cases of pellagra, both among the male and female patients, this year than for several years past. Many of them of a very severe form. Practically all the cases were admitted to the Hospital with the trouble--not developing in the institution. Besides dietary means, we have found yeast to give the best results in the treatment of the disease.

We have found but few cases of hook worm. These were treated with carbon tetrachloride with good results. We have not had as many cases of round worm as we did last year, probably due to the very extensive treatment at that time.

Post-mortems were performed on seven occasions for diagnostic purposes during the year, and the findings recorded and specimens preserved.

The following work was done in the pathological laboratory during the past year:

REPORT BUILDING COMMITTEE

DEAR DR. FAISON:--I beg to submit you herewith report covering Building Activities at the State Hospital near Goldsboro, N. C., for the fiscal years 1925-26.

Prior to June 1, 1925 the following buildings were erected out of what is known as Local Cash:

Four Cottages for Attendants

$4,006.07

Alterations to Apartment House

1,236.17

Alterations to Dentist Cottage

353.52

$5,595.76

At the session of the Legislature held January-February, 1925, an appropriation of $20,000.00 was made for the erection of a Mule Barn. This money was expended as follows:

Mule Barn

$14,335.27

Deep Well and Pumping Outfit

620.00

Colony Building for Attendants

5,044.73

$20,000.00

There was appropriated by the same Legislature $25,000.00 for the erection of a new wing to the Criminal Insane Building, and $15,000.00 for furnishing same, and for the erection of a fence around the Criminal Insane Building. The above amount was expended as follows:

New Building

$24,785.03

Furnishing same

4,596.88

This left a balance of $10,608.09. This amount was used in the erection of a Second Colony Building. Both of these Colony Buildings we erected with the approval of the Governor, as at that time, as you know, we had no room anywhere for patients that were committed to this Institution.

These two Colony Buildings have a capacity for a hundred patients, as well as dining-room and kitchen.

It is well to call your attention to the fact that all buildings erected prior to this time for the insane cost from seven to eight hundred dollars per capita; these Coloney Buildings cost a fraction over $150.00 per capita. These buildings are erected in the center of the farm and are semi-fire proof, and the patients are much pleased by being located out there.

ENGINEER'S REPORT

DR. W. W. FAISON, Superintendent, State Hospital, Goldsboro, N. C.

SIR:--I herewith submit the following report as engineer for the two years ending June 30th, 1926.

New building completed and buildings put into service as follows: New Kitchen Building, a brick building 50' by 75' having slate roof, concrete basement floor, and tiled main floor. Main floor occupied by officers' and patients' kitchens, serving rooms, and cold storage rooms. Basement contains Bakery and storage room. Building erected and lighting system installed on contract, Institution furnishing all common labor. Engineers force installed plumbing and equipment.

Criminal Insane Building, a two-story fireproof brick and concrete structure with concrete floors and composition covered concrete roof. Building, plumbing, lighting system, and courtyard fence erected and installed on contract; institution furnishing all common labor. Engineers force installed light fixtures and window-guards in center section and one wing, steel pipe frame bunks in one wing, and concrete base under fence and barbed wire at top of fence and around top of building.

New Mule Barn; a brick and concrete building 32' by 148' two stories high, asbestos shingle roof and concrete floors. Built with hired masons and carpenters, all common labor furnished by Institution. Engineers force installed lighting system and water system. In connection with barn, wagon and implement sheds covering 6244 square feet were built from material taken out of the old mule barn.

Four one-story, four-room, frame cottages were built with hired carpenters, and Institution common labor, for colored employees. Engineers installing electric lights and driving wells.

Farm Colony Building, a one story brick building with plastered walls and ceilings and concrete floor, built under supervision of engineer by hired carpenters and masons and Institution common labor. Plumbing, lighting system, and sewerage disposal plant put in by engineers force.

Poultry Farm Building consisting of three brooder houses 10' by 12' and one laying house 20' by 70' built by Institution forces and hired carpenters.

Two rooms and back porch added to apartment house and one room to Dentist's cottage. Common labor furnished by Institution, plumbing and lights installed by engineers force.

New equipment purchased in engineering department includes the following: A 10,000-gallon per hour, hot water heater installed on contract, in power plant.

One type MSAM Wallace and Tiernan chlorinator for sterilizing the treated water installed by engineers force.

One Bristol recording pressure gage for recording pressure in water system at all times.

One 1' motor-driven centrifugal brine circulating pump.

One 42' motor-driven extractor and one 42' by 60' motor-driven tumbler dryer installed in Laundry by engineers force.

One Dayton shallow well pumping outfit with electric drive and automatic control installed at Mule Barn.

THE STATE HOSPITAL AT GOLDSBORO GOLDSBORO, N. C.
REPORT ON AUDITS
FOR THE TWO FISCAL YEARS ENDED JUNE 30, 1926

COMBINED REPORT ON AUDITS

HON. BAXTER DURHAM, State Auditor, Raleigh, N. C.

DEAR SIR:--A combined report is prepared from the audit reports of the State Hospital at Goldsboro, Goldsboro, North Carolina, for the fiscal years ended June 30, 1925, and June 30, 1926, and is presented in the following statements:

EXHIBIT "A." Fund Assets and Liabilities, June 30, 1926.

EXHIBIT "B." Permanent Improvement--Revenue and Expenditures for the Two Years.

EXHIBIT "C." Maintenance--Revenue and Expenditures for Each of the Two Years.

SCHEDULE C-1.Maintenance--Institutional Receipts by Sources and Functions for the Fiscal Year Ended June 30, 1926.

EXHIBIT "D."Sundry Receipts--Receipts and Disbursements for the Fiscal Year Ended June 30, 1925.

EXHIBIT "E."Maintenance--Per Capita Cost for Each of the Two Years.

EXHIBIT "F."Food Items--Per Capita Cost for Each of the Two Years.

EXHIBIT "G."Farm Operations for Each of the Two Years.

More detailed information is shown in the separate audit reports for each of the fiscal years.